Table 2.

Recommendations for assigning primary stillbirth COD when two competing stillbirth COD are present.

1. If a major congenital anomaly is present, regardless if any other potential COD is present such as infection or asphyxia, congenital anomaly will be designated as the primary COD.

2. If major trauma is present without a major congenital anomaly, regardless if any other potential COD is present such as infection or asphyxia, trauma will be considered as the primary COD.

3. In the absence of trauma or congenital anomaly, if malaria or syphilis is diagnosed, even if asphyxia is present, malaria or syphilis will be considered the primary COD.

4. In the absence of an anomaly, trauma, malaria or syphilis, if asphyxia is present, asphyxia will be considered the primary COD even if another infection is present.

5. In the absence of trauma, congenital anomaly, malaria, syphilis and asphyxia, if sepsis or other serious infections are present, infection will be considered the COD.

6. Maternal medical conditions will be considered a primary COD only if conditions such as anomalies, trauma, asphyxia, and infection are not present.

7. If any other potential COD is present, FGR will be considered a contributing COD.